4,474 results match your criteria Myofascial Pain


Pharmacotherapy for Spine-Related Pain in Older Adults.

Drugs Aging 2022 Jun 27. Epub 2022 Jun 27.

Department of Neurology, Boston University School of Medicine, Boston Medical Center, 85 E. Concord St, 1122, Boston, MA, 02118, USA.

As the population ages, spine-related pain is increasingly common in older adults. While medications play an important role in pain management, their use has limitations in geriatric patients due to reduced liver and renal function, comorbid medical problems, and polypharmacy. This review will assess the evidence basis for medications used for spine-related pain in older adults, with a focus on drug metabolism and adverse drug reactions. Read More

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Comparison of Dry Needling and Inhibitory Kinesio Taping in Treatment of Myofascial Pain Syndrome of the Upper Trapezius Muscle: A Randomized Controlled Trial.

J Chiropr Med 2022 Mar 16;21(1):23-31. Epub 2022 Mar 16.

Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.

Objective: The purpose of this study was to compare the effects of dry needling and inhibitory Kinesio taping on the pressure pain threshold and muscle thickness in women with myofascial pain syndrome in the upper trapezius muscle.

Methods: The present study was a single-blind randomized controlled clinical trial. Seventy-five women with active trigger points in the upper trapezius muscle were included and randomly divided into 3 groups of equal sizes. Read More

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Comment on Brandl et al. Immediate Effects of Myofascial Release on the Thoracolumbar Fascia and Osteopathic Treatment for Acute Low Back Pain on Spine Shape Parameters: A Randomized, Placebo-Controlled Trial. 2021, , 845.

Life (Basel) 2022 Jun 9;12(6). Epub 2022 Jun 9.

Faculty of Medicine, AMC Hospital, University of Amsterdam, 1100 DD Amsterdam, The Netherlands.

I want to congratulate Brandl et al. [.. Read More

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Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders.

Healthcare (Basel) 2022 Jun 9;10(6). Epub 2022 Jun 9.

Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany.

Splint therapy is widely used in the treatment of myofascial pain, but valid studies on the efficacy of this therapy are rare. The purpose of the present study was to investigate which qualifiable and quantifiable effects of splint therapy are detectable. For this purpose, 29 patients (21 women, mean age 44. Read More

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Conservative Management of Low Back Pain Related to an Unresectable Aggressive Sacral Hemangioma: A Case Report.

Am J Case Rep 2022 Jun 23;23:e936984. Epub 2022 Jun 23.

New Chiropractic and Physiotherapy Centre, EC Healthcare, Hong Kong, Hong Kong.

BACKGROUND Aggressive sacral hemangiomas are extremely rare benign tumors that can extend into the spinal canal, causing neurologic symptoms. Research on these tumors is limited given their rarity, and they have no agreed-upon treatment strategy. We report the first case of an aggressive sacral hemangioma responding well to conservative care, including manual therapies. Read More

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Malocclusion Complexity in Patients with Myofascial Pain with or without Mouth-Opening Limitation: A Case-Control Study.

Biomed Res Int 2022 8;2022:3594246. Epub 2022 Jun 8.

Department of Orthodontics, School of Dentistry, Universidad Autónoma de Yucatán, Yucatán, Mexico.

Background: This study is aimed at determining the association between myofascial pain with or without mouth-opening limitation and malocclusion complexity.

Methods: A prospective, cross-sectional, case-control study was conducted. The Research Diagnostic Criteria were used to evaluate the presence of myofascial pain, chronic pain, and depression. Read More

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Fascial Nomenclature: Update 2022.

Cureus 2022 Jun 13;14(6):e25904. Epub 2022 Jun 13.

Physical Therapy, Clínica Sanares, Guadalajara, ESP.

The connective tissue or fascia plays key roles in maintaining bodily function and health. The fascia is made up of solid and fluid portions, which interpenetrate and interact with each other, forming a polymorphic three-dimensional network. In the vast panorama of literature there is no univocal thought on the nomenclature and terminology that best represents the concept of fascia. Read More

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Clinical usage, application procedures, and perceived effectiveness of cupping therapy among healthcare professionals in the United States: A cross-sectional survey.

Complement Ther Clin Pract 2022 Jun 3;48:101610. Epub 2022 Jun 3.

University of Virginia, Student Health and Wellness Center, 550 Brandon Ave, Room 329, Charlottesville, VA, 22903, USA. Electronic address:

Background: Despite its growing popularity since the mid-1900s, the application procedures and factors influencing the usage of cupping therapy among healthcare professionals in the United States remains unclear. Therefore, the purpose of this study was to investigate the clinical usage, application procedures, and perceived effectiveness of cupping therapy among healthcare professionals in the United States.

Materials And Methods: A convenience sample of 158 healthcare professionals (age: 29. Read More

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When and How to Utilize Pudendal Nerve Blocks for Treatment of Pudendal Neuralgia.

Clin Obstet Gynecol 2022 Jun 3. Epub 2022 Jun 3.

The Dell Medical School at The University of Texas at Austin, Austin, Texas.

Chronic pelvic pain is a common cause of pain in reproductive age women with debilitating consequences for affected women's health and quality of life. Treatment providers must be well versed in all treatment options for these patients, understanding the overlap in the management and treatment of chronic pelvic pain caused by pudendal neuralgia, myofascial pelvic pain, and vulvodynia. Pudendal blocks are a simple and quick procedure that can be performed in the office and often helps improve all the above conditions when used along with other treatment options. Read More

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[Shock wave therapy in oncology: in vitro, in vivo, rehabilitation].

Vopr Kurortol Fizioter Lech Fiz Kult 2022 ;99(3):58-65

Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Department of Health of the City of Moscow, Moscow, Russia.

Extracorporeal shock wave therapy (ESWT) is a relatively new branch of physiotherapy.

Purpose Of The Study: Conduct an analytical review of the available literature data on the use of ESWT in oncology.

Material And Methods: A review was conducted, including data from electronic databases: Scopus, Web of Science, MedLine, World Health Organization, The Cochrane Central Register of Controlled Trials, ScienceDirect, US National Library of Medicine National Institutes of Health, PubMed, Google Scholar, elibrary, CyberLeninka, disserCat. Read More

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[Restoration of hand function in patients with hemiparesis using mirror therapy in combination with myofascial stretching and postisometric relaxation].

Vopr Kurortol Fizioter Lech Fiz Kult 2022 ;99(3):10-15

Novokuznetsk Scientific and Practical Center for Medical and Social Expertise and Rehabilitation of the Disabled Ministry of Labor of Russia, Nokuznetsk, Russia.

The increase in the number of cerebral strokes is accompanied by the accumulation of patients with hemiparesis. It is especially difficult to restore the function of the upper limb, in particular the hand, which significantly limits the social, domestic and labor adaptation of patients. This makes it relevant to search for new methods for restoring the functions of the hand. Read More

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Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial.

BMC Musculoskelet Disord 2022 Jun 13;23(1):567. Epub 2022 Jun 13.

School of Public Health, Dow University of Health Sciences, Karachi, Pakistan.

Background: Non-specific neck pain is the most prevailing musculoskeletal disorder which has a large socioeconomic burden worldwide. It is associated with poor posture and neck strain which may lead to pain and restricted mobility. Physical therapists treat such patients through several means. Read More

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Temporomandibular disorders, bite force and osseous changes of the temporomandibular joints in patients with hypermobile Ehlers-Danlos Syndrome compared to a healthy control group.

J Oral Rehabil 2022 Jun 13. Epub 2022 Jun 13.

Section of Orthodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen.

Background: Ehlers-Danlos syndrome (EDS) is a hereditary disorder that affects the connective tissue and collagen structures in the body characterized by joint hypermobility, skin hyperextensibility and tissue fragility.

Objective: The aim was to investigate temporomandibular disorders (TMD), bite force, teeth in occlusal contact and osseous changes of the temporomandibular joints (TMJs) in 26 patients with hypermobile EDS (hEDS), differentiated by a genetic test, compared to 39 healthy controls.

Methods: Clinical examination according to Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), radiological examinations of the TMJs by cone-beam computed tomographic (CBCT) scans, registration of bite force and teeth in occlusal contact was performed. Read More

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The Effect of Self-Myofascial Release on the Pennation Angle of the Vastus Medialis Oblique and the Vastus Lateralis in Athletic Male Individuals: An Ultrasound Investigation.

Int J Sports Phys Ther 2022 1;17(4):636-642. Epub 2022 Jun 1.

Anatomy, St George's, University of London.

Background: Maintenance of patellar stability requires a balance between the vastus medialis oblique (VMO) and the vastus lateralis (VL). The imbalance between these muscles is thought to be implicated in the etiology of patellofemoral pain (PFP). Where there is hypertrophy of the VL in PFP patients, self-myofascial release (SMR) may be utilized for its management. Read More

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Neuralgia and Atypical Facial, Ear, and Head Pain.

Otolaryngol Clin North Am 2022 Jun;55(3):595-606

Caruso Department of Otolaryngology Head & Neck Surgery, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA. Electronic address:

Though there have been considerable strides in the diagnosis and care of orofacial pain disorders, facial neuralgias, and myofascial pain dysfunction syndrome remain incredibly cumbersome for patients and difficult to manage for providers. Cranial neuralgias, myofascial pain syndromes, temporomandibular dysfunction (TMD), dental pain, tumors, neurovascular pain, and psychiatric diseases can all present with similar symptoms. As a result, a patient's quest for the treatment of their orofacial pain often begins on the wrong foot, with a misdiagnosis or unnecessary procedure, which makes it all the more frustrating for them. Read More

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Clinical Radiofrequency Ablation Outcomes of Combined Sensory Nerve Branch and Dorsal Entry Root Zone Complex Lesions for Sacroiliac Joint Complex Pain.

Adv Ther 2022 Jun 9. Epub 2022 Jun 9.

Pinnacle Health Sciences Centre Scarborough, Toronto, ON, Canada.

Background: Chronic lower back pain (LBP) with or without leg pain (LP) is the most commonly reported anatomical site of pain among Canadian adults with chronic pain. A common cause for LBP and LP arises from dysfunction of the sacroiliac joint (SIJ) complex. When conventional medical management or rehabilitative efforts for SIJ-related LBP and LP fail to provide analgesia, pulsed radiofrequency (PRF) and/or radiofrequency ablation (RFA) of the dorsal entry root zone complex lesions (DREZC) and/or their more peripheral branches can also be a suitable means for treatment. Read More

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Short-term effects of instrument-assisted soft tissue mobilization compared to algometry pressure release in tension-type headache: a randomized placebo-controlled trial.

J Man Manip Ther 2022 Jun 8:1-10. Epub 2022 Jun 8.

Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Purposes: To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and pressure algometry with sham ultrasound (control group) on the clinical measures of headache, pressure pain threshold (PPT) of upper trapezius and suboccipital muscles and cervical alignment in patients with tension type headache (TTH).

Methods: Seventy-two patients with TTH of both genders were randomly allocated to 3 experimental groups: a) the IASTM group (n=24), b) pressure algometry group (n=24), and c) sham ultrasound control group (n=24). Headache frequency and disability, pressure pain threshold of upper trapezius and suboccipital muscles, cervical lordosis angle (CA) and anterior head translation (AHT) were measured four weeks before and after intervention. Read More

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Association among headache, temporomandibular disorder, and awake bruxism: A cross-sectional study.

Headache 2022 Jun 8;62(6):748-754. Epub 2022 Jun 8.

Department of Stomatology, Universidade Federal de Santa Maria, Santa Maria, Brazil.

Objective: To evaluate the association between headache, myofascial temporomandibular disorder (TMD), and awake bruxism (AB).

Background: Bruxism seems to act as a risk factor for TMD and its associated comorbidities, such as headaches.

Methods: In total, 406 medical records of individuals who sought care at a university dental clinic were screened. Read More

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Role of Manual Therapy for Neck Pain and Quality of Life in Head and Neck Cancer Survivors: A Systematic Review.

Indian J Palliat Care 2022 Jan-Mar;28(1):99-112. Epub 2021 Dec 18.

Department of Oncology Physiotherapy, KAHER Institute of Physiotherapy, Belgaum, Karnataka, India.

Background: Pain is the one the most dreadful side effects of head and neck cancers and cancer related treatments affecting patients during and after the treatment adding to the problems affecting their ability to speak, swallow, breath and feeding. Manual therapy is standard set of physiotherapy treatments used for alleviating neck pain. It has found to be effective in small subset of cancer patients for relieving pain. Read More

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December 2021

A human donor (cadaveric) observation study of three needle placements in the piriformis muscle.

J Man Manip Ther 2022 Jun 5:1-7. Epub 2022 Jun 5.

Department of Physical Therapy Education, Elon University, Elon, North Carolina, USA.

Objective: To compare the safety and accuracy of three dry needling locations in the piriformis muscle using human donors.

Design: Observational dissection study of embalmed human donors.

Methods: A licensed physical therapist of 17 years clinical experience and 5 years teaching dry needling placed three needles in a medial, midpoint, and lateral location of 14 piriformis muscles of seven embalmed human donors. Read More

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Guidance to trigger point injection for treating myofascial pain syndrome: Intramuscular neural distribution of the quadratus lumborum.

Clin Anat 2022 Jun 2. Epub 2022 Jun 2.

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, South Korea.

Postural habits and repetitive motion contribute toward the progress of myofascial pain by affecting overload on specific muscles, the quadratus lumborum (QL) muscle being the most frequently involved. The therapy of myofascial pain syndrome includes the release of myofascial pain syndrome using injective agents such as botulinum neurotoxin, lidocaine, steroids, and normal saline. However, an optimal injection point has not been established for the QL muscle. Read More

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A systematic review of in vivo stretching regimens on inflammation and its relevance to translational yoga research.

PLoS One 2022 1;17(6):e0269300. Epub 2022 Jun 1.

Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States of America.

Objective: To conduct a systematic review evaluating the impact of stretching on inflammation and its resolution using in vivo rodent models. Findings are evaluated for their potential to inform the design of clinical yoga studies to assess the impact of yogic stretching on inflammation and health.

Methods: Studies were identified using four databases. Read More

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Approach to Diagnosis and Management of Chronic Pelvic Pain in Women: Incorporating Chronic Overlapping Pain Conditions in Assessment and Management.

Obstet Gynecol Clin North Am 2022 Jun;49(2):219-239

Department of Obstetrics and Gynecology, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

Chronic pelvic pain (CPP) is multifactorial in etiology and heterogeneous in presentation. Identification of all pain contributors is essential for successful management. Chronic overlapping pain conditions (COPCs) are a specified group of chronic pain conditions that commonly co-occur in patients. Read More

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Molecular Mechanisms Underlying the Pain-Relieving Effects of Extracorporeal Shock Wave Therapy: A Focus on Fascia Nociceptors.

Life (Basel) 2022 May 17;12(5). Epub 2022 May 17.

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 55, 56126 Pisa, Italy.

In recent years, extracorporeal shock wave therapy (ESWT) has received increasing attention for its potential beneficial effects on various bone and soft-tissue pathologies, yielding promising outcomes for pain relief and functional recovery. In fact, ESWT has emerged as an alternative, non-invasive, and safe treatment for the management of numerous musculoskeletal disorders, including myofascial pain syndrome (MPS). In particular, MPS is a common chronic painful condition, accounting for the largest proportion of patients affected by musculoskeletal problems. Read More

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Altered Plasma Proteins in Myogenous Temporomandibular Disorders.

J Clin Med 2022 May 14;11(10). Epub 2022 May 14.

Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, SE 581 83 Linköping, Sweden.

The aims of this study were (1) to compare the levels and interactions of several plasma proteins in patients with myogenous temporomandibular disorders (TMDM) compared to healthy and pain-free controls, (2) to compare the levels and interactions in two TMDM subgroups, myalgia (MYA) and myofascial pain (MFP), and (3) to explore associations between the proteins and clinical data. Thirty-nine patients with TMDM (MFP, = 25, MYA, = 14), diagnosed according to the diagnostic criteria for TMD (DC/TMD), aged 38 years, and sex-matched pain-free controls completed an extended DC/TMD Axis II questionnaire and the plasma concentration of 87 biomarkers were analyzed. Nine proteins separated TMDM from controls ( = 0. Read More

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Effect of Manual Therapy Compared to Ibuprofen on Primary Dysmenorrhea in Young Women-Concentration Assessment of C-Reactive Protein, Vascular Endothelial Growth Factor, Prostaglandins and Sex Hormones.

J Clin Med 2022 May 10;11(10). Epub 2022 May 10.

Department of Immunobiology and Environment Microbiology, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.

Background: The study aimed to assess if manual therapy, compared to ibuprofen, impacts the concentration of inflammatory factors, sex hormones, and dysmenorrhea in young women Methods: Thirty-five women, clinically diagnosed with dysmenorrhea, were included in the study. They were divided into group A-manual therapy ( = 20) and group B-ibuprofen therapy ( = 15). Inflammatory factors such as vascular endothelial growth factor (VEGF), C-reactive protein (CRP), prostaglandin F2α (PGF), E2 (PGE2) and sex hormones levels were measured. Read More

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Fascial Innervation: A Systematic Review of the Literature.

Int J Mol Sci 2022 May 18;23(10). Epub 2022 May 18.

Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.

Currently, myofascial pain has become one of the main problems in healthcare systems. Research into its causes and the structures related to it may help to improve its management. Until some years ago, all the studies were focused on muscle alterations, as trigger points, but recently, fasciae are starting to be considered a new, possible source of pain. Read More

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Diaphragmatic Mobility and Chest Expansion in Patients with Scapulocostal Syndrome: A Cross-Sectional Study.

Healthcare (Basel) 2022 May 20;10(5). Epub 2022 May 20.

Faculty of Medicine, Research Institute for Human High Performance and Health Promotion, Khon Kaen University, Khon Kaen 40002, Thailand.

Scapulocostal syndrome (SCS) is a subset of myofascial pain syndrome affecting the posterior shoulder and upper back area. Some of the affected muscles are attached to the rib cage, which may affect diaphragmatic mobility and chest expansion. The purpose of this study was to investigate the characteristics of diaphragmatic mobility and chest expansion in patients with SCS. Read More

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Intramuscular Innervation of the Supraspinatus Muscle Assessed Using Sihler's Staining: Potential Application in Myofascial Pain Syndrome.

Toxins (Basel) 2022 04 28;14(5). Epub 2022 Apr 28.

BK21 FOUR Project, Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, Yonsei University College of Dentistry, Seoul 03722, Korea.

Despite the positive effects of botulinum neurotoxin (BoNT) injection into the neural arborized area, there is no anatomical evidence in the literature regarding the neural arborization of the supraspinatus muscle. The present study aimed to define the intramuscular neural arborized pattern of the supraspinatus muscle using the modified Sihler's staining method to facilitate the establishment of safe and effective injection sites in patients with myofascial pain in the supraspinatus muscle. Seventeen supraspinatus muscles from 15 embalmed cadavers were dissected. Read More

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